PCORE Stakeholder Panel An Introduction to Comparative Effectiveness Research
Today’s Meeting Objectives 1. Understand the purpose of comparative effectiveness research 2. Discuss what comparative effectiveness research projects would look like in the context of your employees’ health and wellness What are your top three areas of interest to explore with employee engagement research?
What is Comparative Effectiveness Research (CER)? � Research that compares two or more clinical and public health interventions to identify which work best in real-world settings for improving health . � The purpose of CER is to assist consumers, clinicians, purchasers and policy makers to make informed decisions that will improve health care at both the individual and population levels. (Information adapted from Harvard Chan School of Public Health, US Federal Coordinating Council, and the Institute of Medicine)
Why use Comparative Effectiveness Research? https://www.youtube.com/watch?v=7dVjaS9-oWU
Example of a Comparative Effectiveness Research Study ��������������������������� ���
Developing a CER Research Question: PICOTS Framework � Population of interest � Intervention(s) being tested � Comparison being used � Outcomes being measured � Timing of study � Setting of study
Population Refers to who will participate in the comparative effectiveness research and be assigned to different interventions. Examples: � Employees who smoke � Middle-aged adults with high blood pressure � College students with depression
Intervention(s) Refers to the strategy or strategies that are being tested. Can include different patient education strategies, program or treatment choices, providers, diagnostic tests, etc. Examples: � Smoking cessation programs with financial incentives � Exercise and diet modification � Cognitive behavioral therapy or antidepressant treatment
Comparison Refers to the participant group that receives a placebo or “usual care” to act as a control reference to compare the intervention to. Examples: � Smoking cessation programs without financial incentives � Prescription medication for high blood pressure � Placebo pill
Outcome(s) The interventions being studied in comparative effectiveness research should be compared on the basis of some health-related outcome measure. Examples: � Rates of smoking cessation � Measurement of blood pressure � Scores on depression inventory
Timing Refers to the timeline and duration of the research. Examples � Following participants for 12 months with check-ins every 3 months � Following participants for 6 months with check-ins every month � Following participants for 18 months with check-ins every week
Setting Refers to where the research takes place. Examples � Company worksites throughout the United States � Primary care clinics � University counseling centers
Barriers to Doing Comparative Effectiveness Research Think about what a comparative effectiveness project would look like at your organization… � What challenges would you face? � Would there be structural barriers, such as cost constraints or feasibility of timing? � Would there be employee engagement barriers or pushback from leadership?
Methods of Comparative Effectiveness Research Methods Using Primary Data Methods Using Secondary Data � Observational studies � Analysis of existing data � Randomized controlled � Synthesis of multiple studies trials (RCTs) into a systematic review or meta-analysis
Questions? Thank you for your participation! Please feel free to contact us at any time: Dr. Abiola Keller - abiola.keller@marquette.edu Dr. Dan Pinto - d.pinto@marquette.edu Marissa Lovell - pcore@nearwestsidepartners.org We are looking to change our next panel meeting to a date in August. Would Thursday, August 22nd be feasible?
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